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Hand Clin. 2017 May;33(2):317-331. doi: 10.1016/j.hcl.2016.12.005. Epub 2017 Mar 1.

Postburn Contractures of the Hand.

Author information

1
Division of Plastic Surgery, Department of Surgery, University of Michigan, 2130 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0340, USA. Electronic address: matbro@med.umich.edu.
2
Division of Plastic Surgery, Department of Surgery, University of Michigan, 2130 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0340, USA.

Abstract

Postburn contractures are a common occurrence after severe burn injuries. It is important to understand the pathologic condition and anatomy of specific postburn deformities in order to provide comprehensive surgical care. Postburn contractures can result in a flexion contracture, boutonniere deformity, burn syndactyly, metacarpophalangeal extension contracture, wrist contracture, or claw hand. A patient evaluation is performed before proceeding to the operating room. Surgery sequences require proper incision design, release of the skin, and deeper contracted structures and coverage with an appropriate flap or graft. Postoperative splinting, scar care, and therapy are equally important for a successful outcome.

KEYWORDS:

Boutonniere; Claw; Contracture; Finger; Flexion; Hand; Postburn

PMID:
28363298
DOI:
10.1016/j.hcl.2016.12.005
[Indexed for MEDLINE]

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